Aspire Wellness Solutions LLC

Organization Active NPI Adolescent and Children Mental Health Clinic/Center · Becker, MN

NPI 1104573195 · NPPES record last updated Jan 29, 2024

Key facts

NPI
1104573195
Entity type
Organization (NPI type 2)
Primary specialty
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Legal business name
ASPIRE WELLNESS SOLUTIONS LLC
Practice address
13209 Sherburne Ave
Suite 108
Becker, MN 55308
Phone
(612) 442-6011
NPI assigned
Mar 9, 2022
Organization subpart
No

Authorized official

Name
Mohamed Ismael
Title
Supervisor
Phone
(612) 442-6011

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X
Clinic/Center 261Q00000X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Yes

Addresses

Primary practice location

13209 Sherburne Ave
Suite 108
Becker, MN 55308

Mailing address

13209 Sherburne Ave
Suite 108
Becker, MN 55308
Phone (612) 227-7170

Other providers in Becker, MN

All providers in Becker, MN · Adolescent and Children Mental Health Clinic/Center in Minnesota

Sources for this page

Verify at the official NPI Registry.